Organization
WELLSTAR MEDICAL GROUP, LLC
Active
Parent organization
WELLSTAR MEDICAL GROUP, LLC
Other names
WellStar Atlanta General Surgery
Organization subpart
Yes
Provider details
NPI number
Legal business name
WELLSTAR MEDICAL GROUP, LLC
Authorized official
MRS. NICOLE ASHE (EXECUTIVE DIRECTOR OF FINANCE)
(770) 792-5261
Entity
Organization
Contact information
Practice address
1700 HOSPITAL SOUTH DR, SUITE 202, AUSTELL, GA 30106-6810
(770) 944-7818
(770) 944-6402
Mailing address
1700 HOSPITAL SOUTH DR, SUITE 202, AUSTELL, GA 30106-6810
(770) 944-7818
(770) 944-6402
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
GA
Other
Enumeration date
05/24/2011
Last updated
05/24/2011
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